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Cardiology Commons

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Articles 1 - 10 of 10

Full-Text Articles in Cardiology

“This Ekg Is Concerning For Ischemia!”, Muhammad M. Zafar Mar 2024

“This Ekg Is Concerning For Ischemia!”, Muhammad M. Zafar

Transformative Medicine (T-Med)

No abstract provided.


New Onset Dyspnea In A Patient With Pacemaker, What Does The Ecg Tracing Show?, Jakob Nypaver, Robert Libera Do, Arun Kundra, Ravi Choxi Mar 2024

New Onset Dyspnea In A Patient With Pacemaker, What Does The Ecg Tracing Show?, Jakob Nypaver, Robert Libera Do, Arun Kundra, Ravi Choxi

Transformative Medicine (T-Med)

Dual chamber pacemakers are programmed to allow for AV synchrony. Whenever a patient with a dual chamber pacemaker with underlying sinus rhythm presents with AV dissociation, the lack of AV synchrony should be questioned. The authors present a case of new onset dyspnea diagnosed as pacemaker syndrome. The diagnosis was initially delayed due to underlying ventricular paced rhythm as misidentified as normal pacemaker behavior.

A 69-year-old female with a past medical history of 2:1 atrioventricular block status post dual-chamber pacemaker implant presented with complaints of new onset shortness of breath and dyspnea. The ECG showed a ventricular rate of 66 …


Pericardial Hematoma Following Coronary Angiography, Davin Evanson, Allegra Delman, Michael Romeo Sep 2023

Pericardial Hematoma Following Coronary Angiography, Davin Evanson, Allegra Delman, Michael Romeo

Transformative Medicine (T-Med)

Introduction: Pericardial hematoma is defined as an accumulation of blood in the pericardial space, located in close proximity to the myocardium and deep to the fibrous pericardial sac, which encloses the heart.

Case Description: We present a rare case of pericardial hematoma following percutaneous coronary intervention in an individual presenting with stenotic vein graft following symptoms of a myocardial infarction. Initial computed tomography (CT) scan demonstrated hematoma in the pericardial space. This finding was managed conservatively and hematoma was deemed stable on serial CT scans.

Discussion: In this urgent situation, CT imaging proves valuable due to its speed, convenience, and …


Welcome To The Fall Issue Of Transformative Medicine, Adam Sigal Sep 2023

Welcome To The Fall Issue Of Transformative Medicine, Adam Sigal

Transformative Medicine (T-Med)

No abstract provided.


“Guess My Labs”, Ravi Choxi Jun 2023

“Guess My Labs”, Ravi Choxi

Transformative Medicine (T-Med)

No abstract provided.


“I Have Dizziness, Do I Need A Pacemaker?”, Ravi Choxi, Arun Kundra Mar 2023

“I Have Dizziness, Do I Need A Pacemaker?”, Ravi Choxi, Arun Kundra

Transformative Medicine (T-Med)

No abstract provided.


“I Have A Lot Of Pvcs And I Need To See A Cardiologist”, Ravi Choxi, Arun Kundra Dec 2022

“I Have A Lot Of Pvcs And I Need To See A Cardiologist”, Ravi Choxi, Arun Kundra

Transformative Medicine (T-Med)

No abstract provided.


“I Have Palpitations, What Does My Ecg Show”, Ravi Choxi, Arun Kundra Sep 2022

“I Have Palpitations, What Does My Ecg Show”, Ravi Choxi, Arun Kundra

Transformative Medicine (T-Med)

No abstract provided.


T Wave Inversions In An Asymptomatic Patient: What Do You Expect And What Is The Next Step?, Ravi Choxi Jun 2022

T Wave Inversions In An Asymptomatic Patient: What Do You Expect And What Is The Next Step?, Ravi Choxi

Transformative Medicine (T-Med)

A 55-year-old male of Asian descent presents for a first time appointment to a primary care office for an annual physical examination. He has no known medical history and is in his usual state of health. He denies any chest pain, dyspnea, syncope, lightheadedness, exercise intolerance, lower extremity edema or orthopnea. Vital signs are notable for a blood pressure of 142/92 mmHg and a heart rate of 86 beats per minute. Physical exam findings are notable for a soft 1/6 systolic murmur heard best in the bilateral upper sternal borders. Electrocardiogram is performed (Figure 1).
Questions:
• Describe the ECG? …


Sinus Pauses And Asystole As A Rare Presentation Of Thyrotoxic Crisis: A Case Report, Christian Akem Dimala, Charnjeet Sandhu, Oreoluwa Oladiran, Agnieszka Mochon, William Finneran Iii Jun 2022

Sinus Pauses And Asystole As A Rare Presentation Of Thyrotoxic Crisis: A Case Report, Christian Akem Dimala, Charnjeet Sandhu, Oreoluwa Oladiran, Agnieszka Mochon, William Finneran Iii

Transformative Medicine (T-Med)

Introduction

Thyroid crisis is a rare and life-threatening endocrine emergency characterized by exaggerated clinical manifestations of hyperthyroidism with cardiovascular manifestations being the most severe. Rhythm disturbances, sinus tachycardia and atrial fibrillation, are the commonest cardiac manifestations of severe thyrotoxicosis; however, asystole remains a very atypical and uncommon presentation. We present a case of thyrotoxicosis due to Grave’s disease complicated by multiple episodes of asystole.

Case Presentation

A 65-year-old female recently diagnosed with Grave’s disease presented to the hospital with recurrent episodes of syncope. Her hospital course was significant for atrial fibrillation with subsequent progression to sinus pauses and asystole spontaneously …